Financial Clearance & Patient Access Specialist

Stony Brook Medicine; Commack (NY); On-site; USD 54,000 - 61,000; Full time

Job summary

Stony Brook Medicine in Commack, NY seeks a Patient Access Financial Clearance Representative to verify insurance, secure authorizations, and guide patients through financial aspects of care. You will interface with Utilization Management, Registration, and Billing to ensure timely financial clearance before procedures.

The role requires at least an Associate's degree (or 2 years of revenue cycle experience in lieu) and strong insurance knowledge. Availability for holiday coverage is required.

Qualifications

• Associate's degree plus 1 year in health care revenue cycle, patient access, financial counseling or insurance authorizations.
• Strong background in medical insurance verification, benefits investigation, and authorization management.
• Knowledge of CPT, ICD-10, HCPCS coding related to authorization and insurance verification.

Responsibilities

• Follows policy for financial screening and patient cost sharing for scheduled services.
• Verifies insurance coverage and confirms eligibility for the service.
• Documents notes on financial clearance and secures proper authorization.

Skills

Communication skills

Insurance verification

Authorization management

Analytical abilities

Organizational skills

Customer service

Education

Associate's degree

Tools

EHR systems

Practice management software

Insurance portals

Job description

Stony Brook Medicine in Commack, NY seeks a Patient Access Financial Clearance Representative to verify insurance, secure authorizations, and guide patients through financial aspects of care. You will interface with Utilization Management, Registration, and Billing to ensure timely financial clearance before procedures.

The role requires at least an Associate's degree (or 2 years of revenue cycle experience in lieu) and strong insurance knowledge. Availability for holiday coverage is required.